Exploring the Feasibility of a Self-Managed Lifestyle Intervention, Based on Exercise and Behaviour Support, as an Adjunct Therapy to Compression: A Sub-Study Focusing on People with Venous Leg Ulcers and Early Neuro-Degenerative Diseases (FISCU-NDD)
-
Published:2023-10-13
Issue:20
Volume:11
Page:2728
-
ISSN:2227-9032
-
Container-title:Healthcare
-
language:en
-
Short-container-title:Healthcare
Author:
Klonizakis Markos1ORCID, Gumber Anil1ORCID, Morley Alexandra2, Horspool Michelle3, McIntosh Emma1, Levesley Maria4, McKeown Jane3, Logan Pip5ORCID
Affiliation:
1. Lifestyle, Exercise and Nutrition Improvement (LENI) Research Group, Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield S10 2BP, UK 2. College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield S10 2BP, UK 3. Sheffield Health & Social Care NHS Foundation Trust, Fulwood House, Old Fulwood Road, Sheffield S10 3TH, UK 4. Integrated Care Team, Sheffield Teaching Hospitals NHS Foundation Trust, Lightwood House, Sheffield S10 2JF, UK 5. Centre of Rehabilitation and Ageing Research, School of Medicine, Faculty of Medicine & Health Sciences, Nottingham NG7 2UH, UK
Abstract
Background: The aim of this study was to adapt the “FISCU Home” intervention (a co-produced, self-managed and expert-supported lifestyle intervention comprising exercise and behaviour support aimed at people with Venous Leg Ulcers (VLUs), in a way that is suitable for the needs of people with combined VLUs and early-stage, Neuro-degenerative diseases (NDDs), and to explore its feasibility (e.g., estimate rates of recruitment and completion of sessions, calculate study adherence rates, assess participant satisfaction via participant interviews, and assess ease of data collection) within this clinical sub-group. Methods: We recruited seven people belonging to this VLUs sub-group (e.g., people with early-stage dementia or Parkinson’s), who were ≥18 years’ old, had VLU(s) of diameter ≥1 cm, ABPI ≥ 0.8, had the ability to tolerate lower-leg compression and were receiving VLU treatment at home. In Phase 1, participants helped us adapt the intervention. In Phase 2 we carried out a 4-week “training crash-course”. This consisted of three, 1 h, self-managed, exercise sessions per week (12 sessions in total), among the participants that completed the interviews. For Phase 3, we carried out post-interviews with all participants to investigate their study experiences, which were analysed using content analysis. Results: All assessments were completed successfully (100% retention and assessment completion), with no exercise-related adverse events. All participants completed the 4-week intervention (100%; all sessions completed by all participants). Conclusion: Our findings suggest that the adapted intervention is feasible, enjoyable and well-received, and has the potential to provide clinical benefits to the participants.
Funder
National Institute for Health Research
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
Reference10 articles.
1. Wittenberg, R., Hu, B., Barraza-Araiza, L., and Rehill, A. (2019). Projections of Older People with Dementia and Costs of Dementia Care in the United Kingdom, 2019–2040: CPEC Working Paper 5, LSE. Available online: https://www.alzheimers.org.uk/sites/default/files/2019-11/cpec_report_november_2019.pdf. 2. Klonizakis, M., Gumber, A., McIntosh, E., Levesley, M., Horspool, M., and Logan, P. (2023). Testing the feasibility of a co-designed intervention comprising self-managed, home-based exercise training with embedded behavioral support and compression therapy for people with venous leg ulcers, receiving treatment at home (FISCU-II). Clin. Exp. Dermatol., llad342. 3. Supervised exercise training as an adjunct therapy for venous leg ulcers: A randomized controlled feasibility trial;Klonizakis;Br. J. Dermatol.,2018 4. The co-design of an exercise-based, lifestyle intervention for people with venous leg ulcers; a self-care, expert-supported strategy for a chronic condition;McIntosh;Int. Wound J.,2023 5. People Living with Inflammatory Bowel Disease Want Multidisciplinary Healthcare: A Qualitative Content Analysis;Feeney;J. Clin. Psychol. Med. Settings,2022
|
|